DR. MICHAEL EGNOR M.D.
NPI 1376573949
Neurological Surgery in East Setauket, NY

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
24 RESEARCH WAY, SUITE 200, EAST SETAUKET, NY 11733(631) 444-1213(631) 444-1535 Get Directions Write a Review

NPPES record last updated: June 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael Egnor M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL EGNOR M.D. (NPI 1376573949) is an individual neurological surgery provider in East Setauket, New York, licensed in New York (185484) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of Columbia University College Of Physicians And Surgeons (1984).

NPPES Registry Identity

NPI1376573949
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. MICHAEL EGNORCredential: M.D.
Location Address24 RESEARCH WAY, SUITE 200East Setauket, NY 11733-3487
Mailing AddressHsc T12 Rm 080Stony Brook, NY 11794-8122 · (631) 444-1213 · Fax (631) 444-1535
Fax(631) 444-1535
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1984
Enumeration DateJuly 3, 2006
Last NPPES UpdateJune 11, 2014
NPI 1376573949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in NY · 185484
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
24 RESEARCH WAY, East Setauket, NY 11733

Other Identifiers 5

Medicare ID-Type Unspecified89F841NY
Medicaid01247456NY
Other4398846NY · Aetna
Medicare UPINE89288NY
Other89F84NY · Empire Bc.bs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Egnor M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870597651
PECOS Enrollment IDI20100303000291
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
205 services120 patients
Reprogramming of cerebrospinal fluid shunt 62252
Reprogramming of a cerebrospinal fluid shunt is a process to adjust the device that helps regulate the flow of fluid around your brain. This adjustment ensures the shunt is working correctly, reducing symptoms and improving your comfort.
72 services34 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
32 services32 patients
Insertion of tube in brain using an endoscope 62160
This procedure, known as endoscopic brain tube insertion, involves the use of a thin, flexible tube with a camera (endoscope) to access and treat conditions within the brain. It's minimally invasive, reducing recovery time.
14 services14 patients
Creation of brain fluid drainage shunt, ventriculo-peritoneal, -pleural, other terminus 62223
This procedure involves placing a small tube, known as a shunt, from the brain to another part of the body. This helps drain excess fluid that can build up in the brain, reducing pressure and alleviating symptoms. The other end of the shunt can be placed in the abdomen, chest, or other suitable area.
13 services13 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11733 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology
24 RESEARCH WAY
EAST SETAUKET, NY 11733
Surgery (Plastic and Reconstructive Surgery)
24 RESEARCH WAY
SETAUKET, NY 11733
Physician Assistant (Surgical)
24 RESEARCH WAY
EAST SETAUKET, NY 11733
Radiology (Diagnostic Radiology)
24 RESEARCH WAY
EAST SETAUKET, NY 11733
Physician Assistant
24 RESEARCH WAY
EAST SETAUKET, NY 11733
Urology
24 RESEARCH WAY
EAST SETAUKET, NY 11733
Urology
24 RESEARCH WAY, SUITE 500
SETAUKET, NY 11733
Plastic Surgery
24 RESEARCH WAY
EAST SETAUKET, NY 11733

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Egnor's NPI number?

The NPI number for Michael Egnor is 1376573949. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Michael Egnor located?

Michael Egnor practices at 24 Research Way Suite 200, East Setauket, NY 11733. The listed phone number is (631) 444-1213.

What is Michael Egnor's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Michael Egnor enrolled in Medicare?

Yes. Michael Egnor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Michael Egnor affiliated with any hospitals?

According to CMS data, Michael Egnor is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Michael Egnor was last updated on June 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.